Ukulimala Kwengozi Yezimoto
I-Back Clinic Auto Accident Injuries Chiropractic kanye ne-Physical Therapy Team. Izingozi zezimoto eziningi zenzeka emhlabeni wonke unyaka nonyaka, zithinta abantu abaningi, ngokomzimba nangokwengqondo. Kusukela ebuhlungu bentamo nomgogodla kuya ekuqhekekeni kwamathambo kanye ne-whiplash, ukulimala kwezingozi zezimoto kanye nezimpawu zabo ezihambisanayo zingase zibe inselele impilo yansuku zonke yalabo ababhekana nezimo ezingalindelekile.
Iqoqo lezihloko likaDkt Alex Jimenez lixoxa ngokulimala kwezimoto okubangelwa ukuhlukumezeka, okuhlanganisa ukuthi yiziphi izimpawu ezithile ezithinta umzimba kanye nezinketho ezithile zokwelapha ezitholakalayo ngokulimala ngakunye noma isimo esibangelwa ingozi yemoto. Ukubandakanyeka engozini yemoto akugcini nje ngokuholela ekulimaleni kodwa kungagcwala ukudideka nokukhungatheka.
Kubaluleke kakhulu ukuba nomhlinzeki oqeqeshiwe onguchwepheshe kulezi zindaba ahlole ngokuphelele izimo ezizungeze noma yikuphi ukulimala. Ukuze uthole ulwazi olwengeziwe, sicela ukhululeke ukuxhumana nathi ku-(915) 850-0900 noma umbhalo ukuze ushayele uDkt Jimenez mathupha ku-(915) 540-8444.
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , Ukulimala Komuntu , Ukulimala Okuhlobene Nasemsebenzini
Abantu bangase bangaboni ukuthi ubambo luqhekekile kuze kube yilapho izimpawu ezinjengobuhlungu lapho uphefumula kakhulu ziqala ukubonakala. Ingabe ukwazi izimpawu nezimbangela zezimbambo eziqhekekile noma eziphukile kungasiza ekuxilongeni nasekwelapheni?
Ubambo Oluqhekekile
Umbambo ophukile/ophukile uchaza noma yikuphi ukuphuka kwethambo. Ubambo oluqhekekile wuhlobo lokuphuka kwezimbambo futhi luyincazelo engaphezu kokuxilonga ubambo oluphukile kancane. Noma imuphi umthelela obuthuntu esifubeni noma emhlane ungabangela ubambo oluqhekekile, okuhlanganisa:
Ukuwa
Ukushayisana kwemoto
Ukulimala kwezemidlalo
Ukukhwehlela okunodlame
Uphawu oluyinhloko ubuhlungu lapho uhogela.
Ukulimala kuvame ukuphola emasontweni ayisithupha.
Izimpawu
Izimbambo eziqhekekile ngokuvamile zibangelwa ukuwa, ukuhlukumezeka esifubeni, noma ukukhwehlela okunamandla. Izimpawu zihlanganisa:
Ukuvuvukala noma ukuzwela endaweni elimele.
Ubuhlungu besifuba lapho uphefumula/uhogela, uthimula, uhleka, noma ukhwehlela.
Ubuhlungu besifuba ngokunyakaza noma lapho ulele phansi ezindaweni ezithile.
Ukulimala okungenzeka.
Nakuba kungavamile, ubambo oluqhekekile lungabangela izinkinga ezifana nenyumoniya.
Bonana nomhlinzeki wezempilo ngokushesha uma unenkinga yokuphefumula, ubuhlungu besifuba obunzima, noma ukukhwehlela okungapheli okunamafinyila, umkhuhlane ophezulu, kanye/noma amakhaza.
izinhlobo
Ezimweni eziningi, ubambo luvame ukuphuka endaweni eyodwa, kubangele ukuphuka okungaphelele, okusho ukuqhekeka noma ukuphuka okungadluli ethanjeni. Ezinye izinhlobo ze-rib fractures zihlanganisa:
Ukuqhekeka Kwabaxoshiwe kanye Nabangenamakhaya
Izimbambo eziphuke ngokuphelele zingase zisuke endaweni noma zingashintshi.
Uma ubambo lunyakaza, lokhu kwaziwa ngokuthi a ukuphuka kwezimbambo futhi kungenzeka ukuthi abhoboze amaphaphu noma alimaze ezinye izicubu nezitho zomzimba. (Yale Medicine. 2024 )
Ubambo oluhlala endaweni ngokuvamile lusho ukuthi ubambo aluphukanga ngokuphelele phakathi futhi lwaziwa ngokuthi a ukuphuka kwezimbambo okungashintshiwe .
Isifuba Esivulekile
Ingxenye ye-ribcage ingahlukana nethambo nemisipha ezungezile, nakuba lokhu kuyivelakancane.
Uma lokhu kwenzeka, i-ribcage izolahlekelwa ukuzinza, futhi ithambo lizohamba ngokukhululekile njengoba umuntu ephefumula noma ephuma.
Le ngxenye ye-ribcage ephukile ibizwa ngokuthi i-flail segment.
Lokhu kuyingozi njengoba kungabhoboza amaphaphu futhi kubangele ezinye izinkinga ezinkulu, njengenyumoniya.
Izimbangela
Izimbangela ezivamile zezimbambo eziqhekekile zihlanganisa:
Ukushayisana kwezimoto
Izingozi zabahamba ngezinyawo
Falls
Ukulimala okunomthelela kwezemidlalo
Ukusebenzisa ngokweqile/Ingcindezi ephindaphindayo elethwa umsebenzi noma imidlalo
Ukukhwehlela okukhulu
Abantu asebekhulile bangathola ukuphuka ngenxa yokulimala okuncane ngenxa yokulahlekelwa okuqhubekayo kwamaminerali amathambo. (U-Christian Liebsch et al., 2019 )
I-Commonality of Rib Fractures
Ukuphuka kwezimbambo kuwuhlobo oluvame kakhulu lokuphuka kwamathambo.
Zibalelwa ku-10% kuya ku-20% wakho konke ukulimala okubuhlungu okubonwa emagumbini aphuthumayo.
Ezimweni lapho umuntu efuna ukunakekelwa ngenxa yokulimala kabi esifubeni, u-60% kuya ku-80% uhilela ubambo oluphukile. (U-Christian Liebsch et al., 2019 )
Sifo
Ubambo oluqhekekile lutholwa ngokuhlolwa komzimba nokuhlolwa kwezithombe. Ngesikhathi sokuhlolwa, umhlinzeki wezempilo uzolalela amaphaphu, acindezele kancane ezimbanjeni, futhi abuke njengoba izimbambo zinyakaza. Izinketho zokuhlola izithombe zihlanganisa: (U-Sarah Majercik, u-Fredric M. Pieracci 2017 )
X-ray – Lezi ngezokubona izimbambo ezisanda kuqhekeka noma eziphukile.I-CT Scan - Lokhu kuhlolwa kwezithombe kuhlanganisa ama-X-ray amaningi futhi kungathola imifantu emincane.I-MRI – Lokhu kuhlolwa kwezithombe okwezicubu ezithambile futhi ngokuvamile kungakwazi ukubona ukuphuka okuncane noma ukulimala koqwanga.I-Bone Scan - Lokhu kuhlolwa kwe-imaging kusebenzisa i-tracer enemisebe ukuze ubone ngeso lengqondo ukwakheka kwamathambo futhi kungabonisa ukuphuka kokucindezeleka okuncane.
Ukwelashwa
Esikhathini esedlule, ukwelashwa kwakuhilela ukusonga isifuba ngebhande elaziwa ngokuthi ibhande lezimbambo. Lezi azivamile ukusetshenziswa namuhla njengoba zingakhawulela ukuphefumula, zandise ingozi yenyumoniya noma ukuwa kwephaphu kancane. (L. May, C. Hillermann, S. Patil 2016 ). Ubambo oluqhekekile ukuphuka okulula okudinga okulandelayo:
Ukuphumula
Imithi etholakala ngaphandle kwekhawunta noma kadokotela ingasiza ekulawuleni izimpawu zobuhlungu.
Izidakamizwa ezingezona ukuvuvukala - ama-NSAID afana ne-ibuprofen noma i-naproxen ayanconywa.
Uma ikhefu libanzi, abantu banganikezwa imithi yezinhlungu enamandla kuye ngobunzima nezimo ezikhona.
Ukwelashwa ngokomzimba kungasheshisa inqubo yokuphulukisa futhi kusize ukugcina ububanzi bokunyakaza kodonga lwesifuba.
Ezigulini ezibuthaka kanye nabantu asebekhulile, ukwelashwa ngokomzimba kungasiza isiguli sihambe futhi senze imisebenzi ethile evamile.
Umelaphi womzimba angaqeqesha umuntu ukuba adlulise phakathi kombhede nezihlalo ngokuphepha kuyilapho eqaphela noma yikuphi ukunyakaza noma ukuma okwenza ubuhlungu bube bubi nakakhulu.
Umelaphi womzimba uzosho umzimba ukugcina umzimba uqinile futhi ube nesitho ngangokunokwenzeka.
Isibonelo, ukusonteka kwe-lateral kungasiza ekuthuthukiseni ububanzi bokunyakaza emgodleni we-thoracic.
Ezigabeni zokuqala zokululama, kunconywa ukuthi ulale endaweni eqondile.
Ukulala phansi kungase kwengeze ukucindezeleka, kubangele ubuhlungu futhi ngokunokwenzeka kubangele ukulimala.
Sebenzisa imicamelo namabolster ukusiza ukusekela ukuhlala embhedeni.
Okunye wukulala esihlalweni esihlezi.
Ukuphulukisa kuthatha okungenani amasonto ayisithupha. (L. May, C. Hillermann, S. Patil 2016 )
Ezinye izimo
Okungase kuzwakale sengathi ubambo oluqhekekile kungase kube isimo esifanayo, yingakho kubalulekile ukuthi uhlolwe. Ezinye izimbangela zezimpawu ezingaba khona zingabandakanya:
Emergency
Inkinga evame kakhulu ukungakwazi ukudonsa umoya ngenxa yobuhlungu. Lapho amaphaphu engakwazi ukuphefumula ajule ngokwanele, amafinyila kanye nomswakama kunganqwabelana futhi kubangele izifo ezifana nenyumoniya. (L. May, C. Hillermann, S. Patil 2016 ). Ukuphuka kwezimbambo ezisusiwe kungalimaza nezinye izicubu noma izitho, okwandisa ingozi yokuwa kwephaphu/i-pneumothorax noma ukopha kwangaphakathi. Kunconywa ukuthi ufune usizo lwezokwelapha ngokushesha uma kuvela izimpawu ezifana nalezi:
Ukuphelelwa umoya
Ukuphefumula kanzima
Umbala wesikhumba oluhlaza okwesibhakabhaka obangelwa ukuntuleka komoyampilo
Ukukhwehlela okungapheli okunamafinyila
Ubuhlungu besifuba lapho uphefumula ngaphakathi nangaphandle
Umkhuhlane, ukujuluka, nokugodola
Ukushaya kwenhliziyo okusheshayo
Amandla Okunakekelwa Kwe-Chiropractic Ekuvuseleleni Ukulimala
VIDEO
Okubhekwayo
Yale Medicine. (2024). Ukuphuka kwezimbambo (ubambo oluphukile) .
U-Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Amaphethini wokuphuka kwezimbambo ezilandelanayo ngemva kokulimala kwesifuba okufiphele: Ukuhlaziywa kwamacala angu-380. I-PloS eyodwa, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Ukuphathwa kokuphuka kwezimbambo. Imfundo ye-BJA. Umqulu 16, Ukukhishwa 1. Amakhasi 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). I-Chest Wall Trauma. Imitholampilo yokuhlinza isifuba, 27(2), 113–121. doi.org/10.1016/j.thorsurg.2017.01.004
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , I-Hip Pain & Ukuphazamiseka
Njengelinye lamalunga athwala kakhulu umthwalo emzimbeni, izinqulu zicishe zibe nomthelela kuwo wonke umnyakazo. Uma umhlanganiso we-hip uhilelekile ekushayweni kwemoto, isikhala ku-capsule ehlangene / ye-hip singagcwala uketshezi, okubangela ukuxubana kwamalungu noma ukuvuvukala, ukuvuvukala, ubuhlungu obungafihli-immobilizing, nokuqina. Ubuhlungu be-hip kuwuphawu oluvamile lokulimala olubikwe ngemva kokushayisana kwemoto. Lobu buhlungu bungasukela kokuncane kuye kobunzima futhi bungaba isikhathi esifushane noma buhlale izinyanga. Kungakhathaliseki izinga lobuhlungu obuzwayo, kufanele kuthathwe isinyathelo ngokushesha ukuze kugwenywe umonakalo wesikhathi eside. Abantu badinga ukunakekelwa kwekhwalithi ephezulu, okugxile esigulini kochwepheshe abanolwazi ngokushesha ngangokunokwenzeka ukuze bangene endleleni eya ekululameni.
Ukulimala Kwehip Hip Yemoto
Amalunga e-hip kumele abe nempilo futhi asebenze ngokuphumelelayo ngangokunokwenzeka ukuze ahlale ekhuthele. I-arthritis, i-hip fractures, i-bursitis, i-tendonitis, ukulimala kokuwa, nokushayisana kwezimoto yizona zimbangela ezivame kakhulu zobuhlungu be-hip obungapheli. Kuye ngohlobo lokulimala, abantu ngabanye bangase babe nezimpawu zobuhlungu ethangeni, e-groin, ngaphakathi kwe-hip joint, noma ezinqeni.
Ukulimala Okuhlobene
Izingozi ezivame kakhulu ezibangela ubuhlungu e-hip ngemva kokushayisana zihlanganisa:
I-Hip Ligament Sprains noma i-Sprains
I-hip ligament sprain noma ukucindezeleka kubangelwa imigqa enwetshiwe noma ephukile.
Lezi zicubu zinamathisela amathambo kwamanye amathambo futhi zinikeze ukuzinza emalungeni.
Lokhu kulimala kungadinga kuphela ukuphumula neqhwa ukuze kuphole, kuye ngobunzima.
I-Chiropractic, i-decompression, kanye nokwelashwa kwe-massage ngokomzimba kungase kudingeke ukuze kulungiswe kabusha futhi kugcinwe imisipha iguquguquka futhi ikhululekile.
I-Bursitis
I-Bursitis ukuvuvukala kwe-bursa, noma isikhwama esigcwele uketshezi esihlinzeka nge-cushioning/impahla phakathi kwamathambo nemisipha.
Ingenye yezimbangela eziyinhloko zobuhlungu be-hip ngemva kokushayisana kwemoto futhi idinga ukunakekelwa kwezokwelapha ngokushesha.
I-Tendonitis
I-Tendonitis wuhlobo lokulimala oluthinta izicubu ezithambile njengama-tendon nemigqa, ngokuphambene nethambo nemisipha.
I-Tendonitis ingabangela ubuhlungu obungapheli kanye nezimpawu ezihlukahlukene zokungakhululeki endaweni nasezindaweni ezizungeze i-hip uma ishiywe ingalashwa.
Izinyembezi ze-Hip Labral
I-hip labral tear iwuhlobo lokulimala kwamalunga lapho izicubu/i-labrum evala isokhethi ye-hip idabuka khona.
Izicubu ziqinisekisa ukuthi ikhanda lethanga lihamba kahle phakathi kwelunga.
Ukulimala kwe-labrum kungaholela ezimpawu zobuhlungu obukhulu futhi kuthinte ukuhamba.
Ukuhlakazwa kwe-Hip
Ukukhishwa kwe-hip kusho ukuthi ibhola le-femur liphumile kusokhethi, okubangela ukuthi ithambo lomlenze ongaphezulu lisuke lisuke endaweni.
Ukususwa kwe-Hip kungabangela i-avascular necrosis , okuwukufa kwezicubu zethambo ngenxa yokuvaleka kwegazi.
Ama-Hip Fractures
Amathambo e-hip angahlukaniswa abe izingxenye ezintathu:
Unyawo
Izitolo
I-Ischium
Ukuphuka kwenyonga, noma inqulu ephukile, kwenzeka noma nini lapho ikhefu, ukuqhekeka, noma ukuchotshozwa kwenzeka kunoma iyiphi yalezi zingxenye ze-hip.
I-Acetabular Fracture
Ukuphuka kwe-acetabular ukuphuka noma ukuqhekeka ngaphandle kwesokhethi ye-hip ebamba amathambo e-hip nethanga ndawonye.
Ukuphuka kwalesi sitho somzimba akuvamile ngenxa yendawo.
Amandla abalulekile nomthelela ngokuvamile kuyadingeka ukuze kubangele lolu hlobo lokuphuka.
Izimpawu
Uma noma yiziphi izimpawu ezilandelayo ngemva kokushayisana kwemoto, kungase kube ukulimala kwe-hip futhi kufanele kuhlolwe uchwepheshe wezokwelapha. Lokhu kubandakanya:
Ubuhlungu noma ubumnene endaweni yokulimala.
Ukulimaza.
Ukuvuvukala.
Ubunzima bokuhambisa inqulu.
Ubuhlungu obukhulu lapho uhamba.
Ukuxhuga.
Ukulahlekelwa amandla emisipha.
Ubuhlungu besisu.
Ubuhlungu bedolo.
Ubuhlungu be-groin.
Ukwelashwa Nokuvuselela
Udokotela noma uchwepheshe kufanele ahlale ehlola izinkinga ze-hip nezimpawu zobuhlungu. Ngosizo lokuhlola ngokomzimba nokuxilongwa okufana nama-X-reyi, i-CT Scans, noma i-MRI, udokotela angakwazi ukuxilonga futhi atuse izinketho zokwelapha. Ukwelashwa ngemva kokuphahlazeka kwemoto kuncike ebukhulu bomonakalo. Ngokwesibonelo , ukuphuka kwe-hip ngokuvamile kudinga ukuhlinzwa ngokushesha, kuyilapho okunye ukulimala kungase kudingeke kuphela imithi, ukuphumula, nokuvuselelwa. Izinhlelo zokwelapha ezingaba khona zihlanganisa:
Ukuphumula
Izinhlungu, iziphumuza imisipha, nemithi elwa nokuvuvukala.
Ukwelapha ngokomzimba
Ukwelashwa kwe-Massage
Ukulungiswa kabusha kweChiropractic
Ukuwohloka komgogodla
Sebenzisa imithi yokwelapha
Imijovo ye-steroid Ukuhlinzwa - ngemva kokuhlinzwa, uchwepheshe womzimba angasiza ukwelula nokusebenza emisipha ezungeze i-hip ukuze athole ukuhamba nokuguquguquka ukuze alulame ngokuphelele.
Ingqikithi yokushintshwa kwesinqe
Ithimba lethu lisebenzisana nochwepheshe abadingekayo ukuze linikeze ukunakekelwa okuphelele okudingekayo ukuze uthole ukululama okuphelele nokuphulukiswa kokukhululeka kwesikhathi eside. Ithimba lizosebenza ndawonye ukuze lenze uhlelo oluphelele lokwelapha ukuqinisa imisipha ye-hip ukuze uthole ukwesekwa okungcono kanye nokwanda kokunyakaza kokunyakaza.
Ukunyakaza Njengomuthi
VIDEO
Okubhekwayo
Cooper, Joseph, et al. "Ukugudluka kwe-hip nokulimala ngesikhathi esisodwa ezingozini zezimoto." Ukulimala vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
Fadl, Shaimaa A, and Claire K Sandstrom. "Ukuqashelwa Kwephethini: Indlela Esekelwe Emeshini Yokutholwa Kokulimala Ngemva Kokushayisana Kwezimoto." I-Radigraphics: ukushicilelwa kokubuyekezwa kwe-Radiological Society of North America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
UFrank, CJ et al. "Ukuphuka kwe-acetabular." Ijenali yezokwelapha yaseNebraska vol. 80,5 (1995): 118-23.
Masiewicz, Spencer, et al. "I-Posterior Hip Dislocation." StatPearls, StatPearls Publishing, 22 April 2023.
U-Monma, H, no-T Sugita. "Ingabe indlela yokukhishwa kwe-hip ngemuva kwe-traumatic ukulimala kwe-brake pedal kunokulimala kwedeshibhodi?." Ukulimala vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
Patel, Vijal, et al. "Ukuhlangana phakathi kokuthunyelwa kwe-airbag yamadolo kanye nengozi yokulimala kwe-knee-thanga-hip ekushayisaneni kwezimoto: Ucwaningo lweqembu elifanisiwe." Ingozi; Analysis and Prevention vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , Ukulimala Kwengozi Yezimoto , I-Chiropractic , Ubuhlungu Bokubuyela Emuva , Impilo , Neck Pain , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Abantu abaningi bahlala ezimotweni zabo futhi bashayela besuka endaweni eyodwa beya kwenye ngenani elisheshayo lesikhathi. Nini izingozi zezimoto kwenzeka, imiphumela eminingi ingathinta abantu abaningi, ikakhulukazi imizimba yabo kanye nengqondo. Umthelela ongokomzwelo wengozi yemoto ungashintsha izinga lempilo yomuntu futhi uthinte umuntu njengoba eba lusizi. Bese kuba nohlangothi lwenyama, lapho umzimba uphokophela phambili ngokushesha, okubangela ubuhlungu obukhulu ezingxenyeni ezingaphezulu neziphansi. Imisipha, imisipha, nezicubu zinwebeka ngaphezu kwamandla azo okubangela izimpawu ezifana nobuhlungu ukuthuthukisa kanye nokugqagqana kwamanye amaphrofayili engcuphe. Isihloko sanamuhla sidingida imiphumela yengozi yemoto eyenzeka emzimbeni, izimpawu ezihambisana nezingozi zezimoto, nokuthi ukwelashwa okufana nokunakekelwa kwe-chiropractic kusebenzisa kanjani amasu afana nenqubo ye-MET ukuhlola umzimba. Sinikeza ulwazi mayelana neziguli zethu kubahlinzeki bezokwelapha abaqinisekisiwe abanikeza amasu okwelapha atholakalayo njenge-MET (amasu emisipha yemisipha) kubantu ababhekene nobuhlungu beqolo nentamo obuhambisana nezingozi zezimoto. Sikhuthaza isiguli ngasinye ngendlela efanele ngokusidlulisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe emiphumeleni yabo yokuxilongwa. Siyakwamukela ukuthi imfundo iyindlela emangalisayo lapho ubuza abahlinzeki bethu imibuzo ebaluleke kakhulu ekuvunyweni kwesiguli. UDkt. Alex Jimenez, DC, uhlola lolu lwazi njengenkonzo yezemfundo. Disclaimer
Imiphumela Yengozi Yemoto Emzimbeni
Ingabe ubhekene nobuhlungu obukhulu entanyeni noma emhlane wakho ngemva kokushayisana kwemoto? Uke waqaphela noma yimuphi umsipha wakho uzizwa uqinile noma ucindezelekile? Noma ingabe ubulokhu ubhekene nezimpawu ezingafuneki ezifana nobuhlungu ezithinta impilo yakho yansuku zonke? Lapho umuntu eye wabhekana nengozi yemoto, umgogodla, intamo, nomhlane kanye namaqembu emisipha ehambisana nawo, kuthinteka ubuhlungu. Uma kukhulunywa ngemiphumela yengozi yemoto emzimbeni, kufanele sibheke ukuthi umzimba usabela kanjani uma izimoto zishayisana. Ucwaningo locwaningo luye lwembula ubuhlungu bentamo yisikhalazo esivamile kubantu abaningi abadala abathintekayo engozini yemoto. Lapho umuntu eshayisana nenye imoto, izintamo zabo ziphuthunyiswa phambili ngokushesha, okubangela umphumela we-whiplash entanyeni nasemisipha yehlombe. Akuthinteki intamo kuphela, kodwa nangemuva. Izifundo ezengeziwe zibaluliwe ukuthi ubuhlungu obuphansi bokubuyela emuva obuhambisana nokushayisana kwezimoto bungabangela imisipha ye-lumbar emuva ukuba idlulele futhi ithuthukise ukulimala ngokomzimba okungabulali ngokuhamba kwesikhathi, phakathi noma emini ngemva kwengozi. Kulelo qophelo, kungaholela ezimpawini ezingafuneki ezihlobene nezingozi zezimoto futhi kuhlobane namaphrofayili engcuphe agqagqene.
Izimpawu Ezihambisana Nezingozi Zezimoto
Izimpawu ezihambisana nezingozi zezimoto ezithinta imisipha yentamo nengemuva ziyahlukahluka kuye ngobunzima bokushayisana. Ngokusho kwe-"Clinical Application of Neuromuscular Techniques," uLeon Chaitow, ND, DO, noJudith Walker DeLany, LMT, bathi lapho othile ehlushwa ingozi yemoto, amandla ahlukumezayo angathinti kuphela imisipha yomlomo wesibeletho noma ye-temporomandibular kodwa futhi nemisipha ye-lumbar. . Lokhu kubangela ukuthi imicu yezicubu zomzimba idabuke futhi ilimale, okubangela ubuhlungu bemisipha. Le ncwadi iphinde yathi umuntu olimele lapho kushayisana khona angakwazi ukuthuthukisa intamo, amahlombe, nokungasebenzi kahle kwemisipha yangemuva. Kuze kube yileso sikhathi, imisipha ye-flexor kanye ne-extensor i-hyperextended, ifinyeziwe, futhi icindezelekile, okuwumphumela wokubangela ukuqina kwemisipha, ubuhlungu, nobubanzi obulinganiselwe bokunyakaza entanyeni, ehlombe nangemuva.
Ukuvula Ukunciphisa Izinhlungu: Siwuhlola Kanjani Ukunyakaza Ukuze Unciphise Izinhlungu-Ividiyo
VIDEO
Ingabe ubulokhu uhlangabezana nobubanzi obulinganiselwe bokunyakaza emahlombe akho, intamo, nangemuva? Kuthiwani ngokuzwa ukuqina kwemisipha lapho welula? Noma ingabe uzwa ukuthamba kwemisipha ezindaweni ezithile zomzimba ngemva kwengozi yemoto? Eziningi zalezi zimpawu ezinjengobuhlungu zihlotshaniswa nezingozi zezimoto ezithinta intamo, amahlombe, nomhlane. Lokhu kubangela ubuhlungu obungapheli bomzimba, futhi izinkinga eziningi zikhula ngokuhamba kwesikhathi emaqenjini ahlukahlukene emisipha. Ngenhlanhla kunezindlela zokunciphisa ubuhlungu nokusiza ukubuyisela umzimba ekusebenzeni. Ividiyo engenhla ichaza ukuthi ukunakekelwa kwe-chiropractic kusetshenziselwa kanjani ukuhlola umzimba ngokusebenzisa ukuguqulwa komgogodla. Ukunakekelwa kwe-Chiropractic kusebenzisa amasu ahlukahlukene ukuze kusize ngokuguquguquka komgogodla futhi kukhulule imisipha eqinile, eqinile ukuze kusize ukuphumula nokubuyisela iqembu ngalinye lemisipha ngenkathi kukhulula ubuhlungu obungadingeki obuvela ezicutshini zemisipha kanye nemigqa.
Ukunakekelwa Kwe-Chiropractic & I-MET Technique Yokuhlola Umzimba
Ucwaningo lwembula ukuthi izingozi zezimoto ziyimbangela enkulu yokulimala komgogodla kanye nemisipha ephathwa ukunakekelwa kwe-chiropractic. Uma umuntu ehlupheka ngemva kwengozi yemoto, uzozwa ubuhlungu emzimbeni wonke futhi azame izindlela zokuqeda ubuhlungu obuthinta ukuphila kwakhe kwansuku zonke ngokwelashwa. Enye yezindlela zokwelapha ezingasiza ukunciphisa ubuhlungu nokubuyisela umzimba ukunakekelwa kwe-chiropractic. Lapho odokotela be-chiropractor belapha umzimba ukuze banciphise ubuhlungu, basebenzisa amasu ahlukahlukene njenge-MET (inqubo yamandla emisipha) ukuze balule futhi baqinise izicubu ezithambile futhi basebenzise ukuxhaphaza ngesandla ukuze baqondise umgogodla, basebenze imisipha eqinile, izinzwa, kanye nemigqa ukuvimbela. omunye umonakalo emzimbeni ngesikhathi abantu abathintekile bebuyela esimeni sabo. Ukunakekelwa kwe-Chiropractic nakho kunobudlelwane obuseduze nezinye izindlela zokwelapha ezifana nokwelashwa ngokomzimba ukusiza ukuqinisa imisipha emzimbeni nokusiza abantu abaningi ukuthi baqaphele ukuthi imizimba yabo isebenza kanjani.
Isiphetho
Sekukonke, lapho umuntu ezwa ubuhlungu emhlane, entanyeni, nasemisipha yehlombe kusukela engozini yemoto, kungathinta inhlalakahle yabo engokomzwelo nangokwenyama. Imiphumela yengozi yemoto ibangela izimpawu zobuhlungu ezingafuneki ukuba zithuthuke futhi zihlobane nokungasebenzi kahle kwe-nociceptive modulated. Kulelo phuzu, kungabangela izinkinga ezifana nokuqina kwemisipha kanye nokuzwela ezindaweni ezithintekile. Ngenhlanhla, ukwelashwa okufana nokunakekelwa kwe-chiropractic kuvumela umzimba ukuthi ubuyiselwe ngokuphathwa ngesandla kanye nenqubo ye-MET yokwelula ngobumnene izicubu ezithambile nemisipha futhi ubuyisele umzimba ekusebenzeni. Ukufaka ukunakekelwa kwe-chiropractic ngendlela ye-MET, umzimba uzothola impumuzo, futhi umsingathi angakwazi ukukhululeka.
Okubhekwayo
UChaitow, uLeon, noJudith Walker DeLany. Isicelo Clinical of Neuromuscular Techniques . UChurchill Livingstone, ngo-2002.
U-Dies, uStephen, no-J Walter Strapp. "Ukwelashwa Kwe-Chiropractic Kweziguli Ezingozini Zezimoto: Ukuhlaziywa Kwezibalo." Ijenali yeCanadian Chiropractic Association , I-US National Library of Medicine, Septhemba 1992, www.ncbi.nlm.nih.gov/pmc/articles/PMC2484939/ .
Fewster, Kayla M, et al. "Izici Zokushayisana Kwezimoto Ezinesivinini Esiphansi Ezihambisana Nobuhlungu Obubuzwa Emuva Eliphansi." Ukuvimbela Ukulimala Kwezimoto , I-US National Library of Medicine, 10 May 2019, pubmed.ncbi.nlm.nih.gov/31074647/ .
Vos, Cees J, et al. "Umthelela Wezingozi Zezimoto Ebuhlungu Bentamo Nokukhubazeka Ekuziphatheni Okujwayelekile." I-British Journal of General Practice: Ijenali yeRoyal College of General Practitioners , I-US National Library of Medicine, Septhemba 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2529200/ .
Disclaimer
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , Ukulimala Komuntu
The I-NHTSA amarekhodi abonisa ukuthi ukushayisana kwangemuva yikona okuvame kakhulu futhi kwenza u-30% wazo zonke izingozi zomgwaqo, ukuphahlazeka, nokushayisana. Ukushayisana kwangemuva kungase kuvele nje. Umzuzwana nje umshayeli ulindile esitobhini noma ekukhanyeni, bese kuthi ngokuphazima kweso adonswe amandla enye imoto/izimoto okuholela ekulimaleni okubi nokuqhubekayo okungaba nomthelela emandleni omuntu ngamunye. Izingozi zokushayisana ezingemuva ngokuvamile zithinta intamo nomhlane. Lokhu kungenxa yamandla amakhulu kanye nokuguquguquka okukhulu nokushaywa komzimba okudlulayo. Ukunakekelwa kwe-Chiropractic, i-massage, kanye nokwelashwa kwe-decompression kungalungisa kabusha umzimba, kuphumule imisipha, kukhulule izinzwa ezicindezelwe, kusheshise ukululama, futhi kubuyisele ukuhamba nokusebenza.
Ukulimala Kokushayisana Kwasemuva
Izingozi zokushayisana ezingemuva zingasukela kokuncane kuye kokubi kakhulu, futhi lokho okubonakala njengokudonsa okuncane kungaholela ekulimaleni okukhulu. Izingozi ezivame kakhulu zihlanganisa:
Ukuphikisana
Ukulimala kwentamo nomgogodla
Whiplash Ingxoxo
Ubuchopho obuhlukumezekile nokunye ukulimala ekhanda. Ukulimala ebusweni
Ukulimala kwamazinyo
Ukuhlukanisa
Amathambo aphukile
Izimbambo ezichotshoziwe noma eziphukile
Amaphaphu abhoboziwe
ukopha zangaphakathi
ukukhubazeka
Izimo ezikhona ngaphambili ezifana nesifo se-disc degenerative zingaba zimbi kakhulu.
Izinhlobo zokushayisana
Ukushayisana kwangemuva kungenzeka ngezindlela eziningi. Izinhlobo ezivame kakhulu zihlanganisa:
Ukuthunga
Lapho abashayeli abangemuva belandela omunye umshayeli eduze kakhulu, futhi umshayeli oholayo ehlisa ijubane noma kufanele ame ngokushesha, umshayeli ongemuva ushaya imoto ngoba besingekho isikhathi esanele nebanga elanele lokuma.
Ukungqubuzana Kwejubane Elincane
Ukushayisana kwejubane eliphansi/okunomthelela ophansi noma ama-fender benders kungaholela ekulimaleni komgogodla kanye nokungqubuzana.
Angase futhi aholele ekulimaleni ebusweni nasekhanda ngenxa yokuthunyelwa kwe-airbag kungazelelwe.
Inqwaba Yezimoto
Ukushayisana okukodwa ngemuva emgwaqweni ophithizelayo noma umgwaqo omkhulu ophakathi nendawo kungabangela ukushayisana kwezimoto eziningi.
Lezi zingozi zingadala ukulimala okubi kakhulu.
Izimbangela
Izimbangela ezingasusa ukunaka emgwaqeni zihlanganisa:
Ukushesha
Ukushayela okuphazamisekile - Ukukhuluma noma ukuthumela imiyalezo.
Ukuthunga
Ukubheka into efana nengozi ngenkathi ushayela.
Izinguquko zomzila ongaphephile
Ukushayela ukozela noma ukukhathala
Izingozi zendawo yokwakha
Isimo sezulu esibi
Izingozi zendawo yokupaka
Ukunakekelwa kweChiropractic
Izimpawu zokulimala kwezimoto ezingemuva zingase zingabonakali ngokushesha ngemva kwengozi. Kungathatha amahora angu-24 kuya kwangu-48 ukuze kuvele izimpawu zokungaphatheki kahle futhi ngezinye izikhathi kube isikhathi eside. Ukujaha kwe-adrenaline kuvumela umuntu ukuthi angazitholi izimpawu zomzimba, yingakho abantu becabanga ukuthi baphile saka uma kungenjalo. Ukungazinaki izimpawu kwandisa ingozi yokulimala unomphela. I-disc ye-herniated, isibonelo, ishiywe ingalashwa, ingaholela ekulimaleni okungapheli kwezinzwa. Ukwelashwa kwe-Chiropractic yokushayisana kwangemuva kungenye yezindlela eziphumelela kakhulu ezitholakalayo. I-chiropractor ilawula umgogodla ukuze uqondise umgogodla, okuvumela umzimba ukuba wehlise ukukhiqizwa kwe-cytokine evuthayo, okunciphisa impendulo yokuvuvukala. Amasu athile kanye namathuluzi ahlukahlukene angakwazi ukuvumelanisa ama-vertebrae ngamanye, abuyisele ukuguquguquka kwamalunga, futhi aphule izicubu ezibomvu ukuze izindawo zilulame ngokushesha.
Umgogodla Wengozi Yemoto Engemuva
VIDEO
Okubhekwayo
Chen, Feng, et al. "Uphenyo Ngobunzima Bokulimala Kwabashayeli Ekushayisaneni Kwangemuva Phakathi Kwezimoto Ezisebenzisa I-Random Parameters I-Bivariate Ordered Probit Model." Ijenali yamazwe ngamazwe yocwaningo lwezemvelo kanye nempilo yomphakathi vol. 16,14 2632. 23 Jul. 2019, doi:10.3390/ijerph16142632
Davis, C G. "Imithelela engemuva: imoto kanye nokusabela komgibeli." Ijenali ye-manipulative and physiological Therapeutics vol. 21,9 (1998): 629-39.
U-Dies, uStephen, no-J Walter Strapp. "Ukwelashwa kwe-Chiropractic kweziguli ezingozini zezimoto: ukuhlaziywa kwezibalo." Ijenali yeCanadian Chiropractic Association vol. 36,3 (1992): 139–145.
Garmoe, W. “Ukushayisana kwangemuva.” Izingobo zomlando zemithi yokwelapha kanye nokuvuselelwa vol. 79,8 (1998): 1024-5. doi:10.1016/s0003-9993(98)90106-x
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , I-Chiropractic , Ubuhlungu Bokubuyela Emuva , Ukwelashwa Kokucindezeleka Komgogodla
Isingeniso
Wonke umuntu uhlale ehamba ngezimoto zakhe njengoba besuka endaweni eyodwa beya kwenye ngesikhathi esincane. Kwesinye isikhathi izingozi zenzeka njengezimoto ukushayisana nomunye futhi kubangele ubuhlungu obukhulu emzimbeni njengoba uphokophele phambili, okubangela emuva futhi ubuhlungu entanyeni kumuntu ngamunye. Lokhu kuyimiphumela engokomzimba emzimbeni, kodwa umthelela womzwelo nawo unomthelela kumuntu ngamunye. Kungabangela umuntu ukuba abe lusizi futhi kuthinte izinga lempilo yakhe. Isihloko sanamuhla sixoxa ngemiphumela yengozi yemoto yimbangela yomhlane nomzimba, kanye nokuthi ukwelapha okungewona ukuhlinzwa kokunciphisa ukucindezeleka kungasiza kanjani ekudambiseni ubuhlungu emhlane kusukela engozini yemoto. Iziguli zithunyelwa kubahlinzeki abaqeqeshiwe, abanekhono abangochwepheshe be-decompression yomgogodla kanye nokwelashwa okungahlinzeki. Sihambisana neziguli zethu ngokuzidlulisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhlolweni kwazo uma kufaneleka. Sithola ukuthi imfundo ibalulekile ekubuzeni imibuzo ebalulekile kubahlinzeki bethu. UDkt. Jimenez DC unikeza lolu lwazi njengesevisi yezemfundo kuphela. Disclaimer
Ingabe umshwalense wami ungawukhokhela? Yebo, kungenzeka. Uma ungaqiniseki, nasi isixhumanisi esiya kubo bonke abahlinzeki bomshwalense esibakhava. Uma unemibuzo noma ukukhathazeka, sicela ushayele uDkt. Jimenez ku-915-850-0900.
Imithelela Yezingozi Zezimoto Emhlane
Ingabe uke wahlushwa iqolo ngemva kokushayisana kwemoto? Kuthiwani ngokuzwa i-whiplash noma ubuhlungu bentamo? Noma ingabe iqolo lakho eliphansi belilokhu liqinile futhi libuhlungu kakhulu? Eziningi zalezi zimpawu ziyizimpawu zokuthi umgogodla, umhlane, nentamo konke kuhlaselwe yimiphumela yengozi yemoto. Ucwaningo selukhombisile ukuthi umthelela womuntu engozini yemoto ubangela ukuba umzimba ujike ngokushesha uye phambili nangemuva ngemva kokuma ngokuphelele, okubangela ukulimala emzimbeni, ikakhulukazi emgogodleni. Ngemva kokuba kwenzeke ingozi yemoto, abantu abaningi abayizwa imiphumela yokulimala okubangelwa izingozi zezimoto ngezinye izikhathi kuze kube usuku lwangemva kwengozi. Lokhu kungenxa ye-adrenaline emzimbeni, okubili i-neurotransmitter kanye nehomoni futhi evulwe ngokugcwele ku-max. Ulwazi olwengeziwe lushilo ukuthi abantu abaningi bahlushwa ubuhlungu obuphansi emuva ngemva kokushayisana kwemoto. Ngisho noma ingozi yayingabulali, umthelela ungabangela ubunzima emisipha ephansi emuva futhi ucindezele izinzwa zomgogodla, ubenze bacasuke.
Indlela Umzimba Othinteka Ngayo
Ucwaningo locwaningo luye lwabonisa ukuthi umthelela wengozi yemoto ungase ubangele umzimba ukuba ube nokulimala okungabulali ngokomzimba kodwa futhi kubangele ukuhlukumezeka kwengqondo okungathinta ingqondo yomuntu. Abantu abaningi abahlangabezane nengozi yemoto bazoba nemizwa ehlukahlukene ebashiya bethukile. Phakathi naleyo nqubo, imizwa enjengokucindezeleka, ukungabi namandla, intukuthelo, ukushaqeka, nokukhungatheka kuvezwa njengomuntu obesengozini ehlangabezana nale mizwelo engemihle. Ucwaningo olwengeziwe luphinde lwatholwa ukuthi abantu abaningi bangathola iziqephu zobuhlungu obuphansi emuva obuphindelelayo kanye nokuba khona kwemizwa abakuzwayo. Ngenhlanhla, kunezindlela zokunciphisa ubuhlungu obuphansi emuva obubangelwa izingozi zezimoto futhi kungasiza ukubuyisela umgogodla ekusebenzeni kwawo.
I-Spinal Decompression Therapy Inciphisa Ukulimala Kwengozi Yezimoto- Ividiyo
VIDEO
Ingabe uke wabhekana nobuhlungu obuphansi emuva ngemva kwengozi yemoto? Kuthiwani ngokuzwa imiphumela yokuqina kwemisipha entanyeni nangemuva kosuku olulandelayo? Ingabe imizwa enjengokucindezeleka, ukukhungatheka, nokushaqeka kuyalithinta izinga lakho lokuphila? Lezi yizimpawu nezimpawu zalokho umuntu abhekana nakho ngemva kokubandakanyeka engozini yemoto nokubhekana nobuhlungu bentamo nomhlane. Kunezindlela zokwelapha ubuhlungu bentamo neqolo ngokusebenzisa ukucindezeleka, futhi ividiyo engenhla ichaza imiphumela emangalisayo yalokho okwenziwa yi-decompression kumuntu ngamunye. I-Decompression iyindlela yokwelapha engahlinzeki evumela ukudonsa kancane ukuze kudambise i-spinal disc eyisicaba futhi kususe ingcindezi emithanjeni eshubile ezungeze umgogodla. I-traction emnene iphinde iphampu imisoco ibuyele kuma-discs aphelelwe amanzi ngenkathi ikhulisa ukuphakama kwawo. Lokhu isixhumanisi sizochaza lokho okunikezwa yi-decompression kanye nemiphumela emangalisayo kubantu abaningi abahlushwa iqolo noma intamo ngenxa yengozi yemoto.
Indlela Ukuwohloka Komgogodla Kusiza Kanjani Ukukhulula Umgogodla Ngemva Kwezingozi Ezizenzakalelayo
Ngemva kokuba umuntu ehlushwa ingozi yemoto, uzwa ubuhlungu emgogodleni nasemuva ngosuku olwandulela noma ngemva kwalokho. Abantu abaningi abahlushwa izinhlungu eziphansi emuva, intamo, kanye ne-whiplash ezingozini zezimoto bavame ukuthola izindlela zokudambisa izinhlungu zomgogodla wabo. Enye yalezi zindlela zokwelapha ukuwohloka komgogodla. Ukuwohloka komgogodla kuvumela umuntu ukuthi ahlale etafuleni lokudonsa endaweni ephansi futhi aboshelwe kulo. Ucwaningo locwaningo selushilo ukuthi ukuwohloka komgogodla kuwukwelashwa okungahlinzeki kubantu abaningi abahlushwa izinhlungu eziphansi emuva. Ngokuphambene, umshini wokudonsa udonsa kancane kancane umgogodla ukuze ukhulule ubuhlungu obubangelwa ukulimala komgogodla ngenxa yengozi. Lokhu kuzonikeza ukululama okusebenzayo kubantu abaningi abahlushwa izinhlungu eziphansi emuva. Imininingwane eyengeziwe nayo ibaluliwe ukuthi ukuphumelela kokunciphisa kunganciphisa izimpawu zokuvuvukala ezibangelwa izimpande zezinzwa ezithuthukisiwe ngokusebenzisa ingcindezi embi, ngaleyo ndlela kubangele ukukhululeka emhlane.
Isiphetho
Sekukonke, ukuhlushwa iqolo eliphansi noma ubuhlungu bentamo ngemva kwengozi yemoto kuthinta izinzwa kubantu abaningi. Ukuhlukumezeka ngokomzwelo nangokomzimba okubangelwa ukushayisana kwemoto kungadambisa isimo somuntu, futhi ubuhlungu obusele ngemva kwalokho bungase buthinte izinga lakhe lokuphila. Ukusebenzisa i-decompression ekwelapheni okungahlinzeki kunganikeza imiphumela enenzuzo ekubuyiseleni ukusebenza emuva komgogodla kanye nokunciphisa ubuhlungu umuntu akubo. Uma abantu besebenzisa i-decompression, bangabuyela emisebenzini yabo futhi bangabi nazinhlungu kusukela emhlane wabo ongezansi.
Okubhekwayo
U-Daniel, u-Dwain M. “Ukwelashwa Kokuwohloka Komgogodla Okungahlinzeki: Ingabe Izicelo Zesayensi Yemibhalo Yemibhalo Zisekela Ukusebenza Ezenziwe Kwabezindaba Zokukhangisa?” I-Chiropractic & Osteopathy , BioMed Central, 18 May 2007, www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/ .
Kang, Jeong-Il, et al. "Umphumela Wokuwohloka Komgogodla ku-Lumbar Muscle Activity kanye neDisk Height ezigulini ezine-Herniated Intervertebral Disk." Ijenali yePhysical Therapy Science , I-Society of Physical Therapy Science, Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5140813/ .
Nolet, Paul S, et al. "Ukuchayeka Ekushayisaneni Kwezimoto Kanye Nengozi Yobuhlungu Besikhathi Esizayo: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta." Ingozi; Ukuhlaziya kanye Nokuvimbela , I-US National Library of Medicine, ngoJulayi 2020, pubmed.ncbi.nlm.nih.gov/32438092/ .
Nolet, Paul S, et al. "Inhlangano ephakathi komlando wokuphila konke wokulimala okuphansi ngemuva kokushayisana kwezimoto kanye nobuhlungu besikhathi esizayo obuphansi emuva: Ucwaningo Lweqembu Olusekelwe Kubantu." I-European Spine Journal: Ukushicilelwa Okusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kanye ne-European Section ye-Cervical Spine Research Society , I-US National Library of Medicine, Jan. 2018, pubmed.ncbi.nlm.nih.gov/28391385/ .
Salam, Mahmoud M. "Izingozi Zemoto: I-Physical Versus the Psychological Trauma." Ijenali Yezimo Eziphuthumayo, Ukuhlukumezeka, kanye Nokwethuka , Medknow Publications & Media Pvt Ltd, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5357873/ .
Toney-Butler, Tammy J, noMatthew Varacallo. "Ukushayisana Kwezimoto - Statpearls - Ishalofu Lezincwadi le-NCBI." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 5 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK441955/ .
Disclaimer
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , I-Chiropractic , I-Disc Herniated , Ukwelashwa Kokucindezeleka Komgogodla
Isingeniso
Umzimba ungumshini ocushwe kahle ohamba njalo. Amasistimu ahlukene afana ne uhlelo lwemisipha , lo izivikeli mzimba , Kanye uhlelo oluhlangene , uma sibala okumbalwa, kungasiza ukusebenza kwezitho zomzimba ukuze umzimba usuke endaweni A ukuya endaweni B. Lapho ukulimala noma izingozi zezimoto kuthinta umzimba, kungabangela izinkinga ezihlukahlukene ezithinta umzimba ngokuhamba kwesikhathi. Abantu abaningi abahlushwa ukulimala kwengozi yemoto bazozwa ubuhlungu ezingxenyeni zomlomo wesibeletho kanye ne-lumbar yomgogodla wabo. Kungase kuthuse njengoba bezama ukuqonda okwenzekayo. Isihloko sanamuhla sizogxila ekunqandeni ngenxa yezingozi zezimoto, ukuthi ziwuthinta kanjani umgogodla, nokuthi ukwelapha ukuwohloka kokucindezeleka kungasiza kanjani abantu abaningi abahluphekayo ngenxa yengozi yemoto. Ukubhekisa iziguli kubahlinzeki abaqeqeshiwe nabanekhono abasebenza ngokukhethekile ekwelashweni komgogodla. Siqondisa iziguli zethu ngokubhekisela kubahlinzeki bethu bezokwelapha abahlobene ngokusekelwe ekuhloleni kwabo uma kufaneleka. Sithola ukuthi imfundo ibalulekile ekubuzeni imibuzo enokuqonda kubahlinzeki bethu. UDkt. Jimenez DC unikeza lolu lwazi njengesevisi yezemfundo kuphela. Disclaimer
Ingabe umshwalense wami ungawukhokhela? Yebo, kungenzeka. Uma ungaqiniseki, nasi isixhumanisi esiya kubo bonke abahlinzeki bomshwalense esibakhava. Uma unemibuzo noma ukukhathazeka, sicela ushayele uDkt. Jimenez ku-915-850-0900.
Izingozi Ezizenzakalelayo Ziyibangela Kanjani I-Herniation?
Uke wezwa ubuhlungu entanyeni noma emhlane ophansi? Ingabe uhlangabezane ne-whiplash entanyeni yakho? Ingabe ubuhlungu buye baba bubi kakhulu ngemva kwengozi? Izimpawu eziningi ngokuyinhloko ziyimiphumela yangemva kwengozi yemoto ehilela umuntu. Ngemva kokuba umuntu ehileleke engozini yemoto, ukulimala nezimpawu ngokuvamile zenzeka phakathi nemizuzu embalwa kuze kube usuku olulandelayo. Ucwaningo locwaningo luye lwabonisa ukuthi izimpawu zokulimala kwengozi yemoto njenge-herniation zenzeka lapho izingxenye zomlomo wesibeletho ne-lumbar zilimala, okubangela izimpawu ezifana nokucindezeleka kwezicubu ezithambile kanye ne-disc derangement ukuze kuhambisane nezimpawu zobuhlungu obukhulu. I-auto accident herniation nayo iqala ukucindezela izinzwa ezizungezile ezizungeze umgogodla. Idala izimpawu zokuvuvukala ezindaweni ezithintekile ezisentanyeni nasemhlane ophansi. Ucwaningo olwengeziwe luthole ukuthi i-auto accident herniation iphinde ithinte ingxenye ye-thoracic yomgogodla. Abantu abaningi abahlukunyezwa yi-herniation bazozwa ubuhlungu behlombe obungemuva kanye nobuhlungu obungaphezulu / obuphansi beqolo ngenxa yokubandakanyeka engozini yemoto.
Iwuthinta Kanjani Umgogodla?
Lapho umuntu ehlaselwe ingozi yemoto, imiphumela yangemuva ayithathisi umzimba kuphela kodwa nomgogodla. Izimpawu ezibuhlungu, ezivuvukalayo zenza izicubu zemisipha ethambile zibe thambile lapho uzithinta. Ucwaningo locwaningo selushilo ukuthi umgogodla uzobhekana nokuphuka okungenzeka eduze kwesigaba se-lumbar somgogodla ngenxa yomthelela wamandla obangela ukucindezelwa kwe-axial kanye nokunwebeka ngokweqile kwemisipha nezicubu ezithambile, okubangela ubuhlungu obubukhali bokudubula. Lokhu kwenza umhlane nentamo ingene ekuphelelwe yithemba okukhulu ngemva kokwenzeka kwengozi yemoto, ngaleyo ndlela kuphazamisa izinga lempilo yomuntu. Ucwaningo olwengeziwe luye lwabonisa ukuthi abantu abaningi abahluphekayo bazwa ubuhlungu be-lumbosacral radicular phezu kwe-herniation. Lapho umuntu ehlushwa ukuwohloka kwe-disc futhi ehileleke engozini yemoto, imiphumela ye-cascading ibangela ukuba ungqimba lwangaphandle lwe-intervertebral disc luqhume futhi luvumele ukukhishwa kwezinto ze-disc ukuze kubangele i-herniation emgogodleni. Lapho i-disc ruptured iba i-herniated, izohlala icindezela ezimpandeni zemizwa, futhi noma yikuphi ukusabela okuvamile njengokukhwehlela noma ukuthimula kuyokwandisa ubuhlungu. Ngokujabulisayo, kunezindlela zokwelapha ezisiza ukunciphisa i-herniation futhi zisize ukubuyisela ukusebenza komgogodla.
Mechanical Traction For Herniation-Ividiyo
VIDEO
Uzizwa ubuhlungu obungakhululekile entanyeni yakho noma emhlane? Ingabe izenzo zansuku zonke ezinjengokukhwehlela noma ukuthimula zikulimaze emhlane lapho kungafanele? Ingabe ubuhlungu buba bubi kakhulu usuku lonke? Zonke lezi zimpawu zibangelwa i-disc herniation ebangelwa izingozi zezimoto futhi zingathinta izinga lempilo yomuntu. Izindaba ezinhle ukuthi ukwelashwa kwe-traction kungase kube impendulo yokukhulula ezinye zezimpawu ezifana ne-herniation emgogodleni. Ividiyo engenhla ibonisa ukuthi i-traction ngomshini isetshenziswa kanjani kubantu abaningi abahlushwa ubuhlungu endaweni yomlomo wesibeletho yomzimba. I-Traction therapy iwuhlobo lokwelapha lokuwohloka okungaba okungelona ukuhlinzwa noma ukuhlinzwa, kuye ngokuthi ubuhlungu buwuthinta kangakanani umzimba. I-Traction isiza umgogodla ngokudonsa ngobumnene, okubangela ukuthi ama-discs e-herniated ahoxise emithanjeni ecindezelwe futhi asungule izakhiwo zokuphulukisa ukuze abuyisele kabusha kuma-disc athintekile ngenkathi ekhulisa isikhala se-disc phakathi kwe-vertebrae yomgogodla. Ukwelashwa kwe-decompression/traction noma izifunda ze-lumbar noma zomlomo wesibeletho zomgogodla kunezici eziningi ezizuzisayo ekuvimbeleni i-disc herniation. Lokhu isixhumanisi sizochaza ukuthi ukuchithwa kwe-decompression noma ukudonsa kunikeza kanjani ukukhululeka okuhlaba umxhwele kubantu abaningi abahlushwa intamo kanye ne-back back pain herniation ebangelwa ukulimala kwengozi yemoto.
Indlela Ukwelashwa Kwe-Decompression Isiza I-Auto Accident Herniation
Ngemva kokuba umuntu ehlushwa ukulimala engozini yemoto, umzimba ngezinye izikhathi uyoba nemiphumela ebuhlungu ngakusasa njengoba umzimba une-adrenaline rush evala ubuhlungu. Uma lokhu kwenzeka, izindlela zokwelapha zisiza ekudambiseni ubuhlungu futhi uzame ukulungisa umzimba ukuze usebenze futhi. Ucwaningo locwaningo luye lwabonisa ukuthi ukwelapha ukuwohloka kwengcindezi kuye kwasiza abantu abaningi abaphethwe yi-herniation ngenxa yezingozi zezimoto ngokusebenzisa ukuthulula amandla okudonsa ekwelapheni ukuze kuncishiswe i-herniation emgogodleni. La mandla aphikisayo asiza ukudambisa izimpawu ezibuhlungu ezibangelwa i-disc herniation ngenkathi izinzwa ezicindezelwe zikhululeka. Ezinye izifundo zocwaningo zibalulile ukuthi ukwelashwa kwe-traction, lapho kusetshenziselwa i-herniation, kubangela ukuhlukaniswa kwe-vertebral ukwandisa isikhala se-disc futhi kunciphise ukucindezelwa kwezimpande zenzwa. Lokhu kuvumela imigqa yomgogodla ukuthi iqine, okuzuzisa ukuthi ama-disc herniated abuyele emgogodleni futhi abangele ukukhululeka kubantu abahluphekayo.
Isiphetho
Sekukonke imiphumela yokulimala engozini yemoto eyenza umgogodla ube ne-herniated ithinta izinga lempilo yomuntu. Izimpawu ezibuhlungu zidala ukucindezelwa ezimpandeni zezinzwa ezizungezile, ukuthumela izimpawu zobuhlungu ukuphazamisa ubuchopho nokwelula imisipha lapho umgogodla ulimala. Ngemuva kokuthi kwenzeke ingozi yemoto, ubuhlungu obusele buzodala ukuzwela ezingxenyeni zomlomo wesibeletho kanye ne-lumbar yomgogodla okubangela ubuhlungu obukhulu nakakhulu kumuntu. Ukwelashwa okufana ne-traction therapy kuvumela abantu ukuthi bathole ukukhululeka abakudinga kakhulu njengoba i-disc ye-herniated ithuthelwa endaweni yayo yasekuqaleni futhi ibekwe ezimpandeni zemizwa. Ukwelashwa kokudonsa kunikeze ukukhululeka okunenzuzo emgogodleni ngenxa yengcindezi engemihle futhi kwabuyisela ukusebenza komgogodla emzimbeni.
Okubhekwayo
I-Cornips, u-Erwin M J. "Ubuhlungu Obukhubazeke Emuva Ngemuva Kwe-Whiplash kanye Nokunye Ukushayisana Kwezimoto Okubangelwa I-Thoracic Disc Herniations: Umbiko Wezimo Ze-10." Isiphetho , I-US National Library of Medicine, 20 May 2014, pubmed.ncbi.nlm.nih.gov/24718062/ .
U-Hashish, u-Rami, no-Hasan Badday. "Imvamisa Ye-Acute Cervical Pathology kanye Ne-Lumbar Pathology Ezinhlotsheni Ezivamile Zokushayisana Kwezimoto: Ukubuyekezwa Kwerekhodi Elibukwayo." I-BMC Musculoskeletal Disorders , BioMed Central, 9 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5680606/ .
Kumari, Anita, et al. "Imiphumela ye-One-Fifth, One-Third, kanye ne-One-Half of the Bodyweight Lumbar Traction on the Straight Leg Raise Test and Pain in Prolapsed Intervertebral Disc Patients: A Randomized Controlled Trial." I-BioMed Research International , Hindawi, 16 Septhemba 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8463178/ .
U-Oakley, uPaul A, no-Deed E Harrison. "I-Lumbar Extension Traction Inciphisa Izimpawu Futhi Isiza Ukuphulukiswa Kwe-Disc Herniation / Sequestration Emavikini E-6, Ukulandela Ukwelashwa Okuhlulekile Kusuka Ku-Chiropractors Ezintathu Zangaphambili: Umbiko Wecala Le-CBP® Nge-8 Year Follow-Up." Ijenali yePhysical Therapy Science , I-Society of Physical Therapy Science, Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702845/ .
Pachocki, L, et al. "I-Biomechanics ye-Lumbar Spine Injury in Road Barrier Collision-Finite Element Study." I-Frontiers ku-Bioengineering kanye ne-Biotechnology , Frontiers Media SA, 1 Nov. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8591065/ .
Suri, Pradeep, et al. "Imicimbi Ekhuthazayo Ehlotshaniswa Ne-Lumbar Disc Herniation." I-Spine Journal: Ijenali Esemthethweni ye-North American Spine Society , I-US National Library of Medicine, May 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2919742/ .
Disclaimer
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , Ukwelashwa Kokucindezeleka Komgogodla
Abantu bayashayela ukuya emisebenzini, esikoleni, benza imisebenzi ethile, bathathe uhambo lomgwaqo, bachithe isikhathi esiningi emgwaqeni. Izingozi nokuphahlazeka kwenzeka kaningi ngazo zonke izinhlobo zokulimala. I Ikhomishana Kazwelonke Yokuphepha Komgwaqo Omkhulu ithole ukuthi u-37% wezingozi zezimoto kanye nezingozi zihlanganisa ukulimala nokulimala emilenzeni. Ukuvuselelwa ngokomzimba kwe-Chiropractic kanye nemithi esebenzayo kungasiza ukuphulukisa ukulimala ukubuyisela umuntu ekuphileni kwansuku zonke.
Ukulimala Emilenzeni
Umlenze ojwayelekile ukulimala zihlanganisa:
Ukulimaza kanye Nokusika
Ukulimaza kanye nokusikeka kuvamile ngenxa yomthelela kanye nomzimba oshaywayo nxazonke. Imivimbo ingaqashelwa ngokushesha, kodwa imihuzuko ivela ekuhlanganisweni kwegazi ngaphansi kwesikhumba futhi kungathatha isikhathi ukwethula, cishe amahora angama-24 kuya kwangu-48. Imihuzuko eminingi nokusikeka kuyaphola ngokuzimela ekunakekelweni kosizo lokuqala lwasekhaya. Ukululama okujwayelekile okusetshenziselwa ukunakekela ukulimaza kungukuthi I-RICE noma ukuphumula, iqhwa, ukucindezela, nokuphakama
Ukulimala kwe-ACL
The femur noma ithambo lethanga inamabhande amaningana ezicubu ezixhumanisa ne i-patella noma i-kneecap futhi i-tibia noma ithambo le-shin . Elinye lamaqembu yi- i-anterior cruciate ligament noma i-ACL. Ukulimala kwaleli bhande lezicubu kujwayelekile kwezemidlalo. Izingozi zezimoto nokuphahlazeka kungenye imbangela evamile, ikakhulukazi ukuklebhula umsipha. Abantu abadabukile bangabona ezinye noma zonke lezi zimpawu ezilandelayo:
Umsindo wokuqhekeka noma ophumayo lapho ingozi noma ukuphahlazeka kwenzeka.
Ukuvuvukala phakathi nokuzungeza idolo.
Ubuhlungu obukhulu phakathi naseduze kwedolo.
Ayizinzile futhi ayizinzile lapho uhamba noma umile.
Ububanzi obuncishisiwe bokunyakaza okwenza ukuhamba noma ukunyakaza kube nzima.
I-chiropractor ingasiza ukwelapha ukulimala futhi isize ukulungisa noma yikuphi ukungalingani kwemisipha.
Izinyembezi ze-Meniscus
Izinyembezi ku-meniscus nazo zivamile ezingozini zezimoto nokuphahlazeka. I i-meniscus
Lapho i-meniscus ikhala, abantu bangase bezwe noma bezwe i-pop futhi bazwe umlenze uphelelwa ngamandla.
Ukuvuvukala edolweni.
Ubuhlungu obuthile kodwa ngisakwazi ukuhamba.
Idolo lizobe liqinile ezinsukwini ezimbalwa ezizayo.
Ubunzima obuningi bokuthwala isisindo noma ukuhamba.
Indlela ye-RICE iyindlela enconyiwe yokuzinakekela. Izinyembezi eziningi ze-meniscus azidingi ukuhlinzwa ukuze kuthuthukiswe ukusebenza kwamadolo. Izinyembezi ze-meniscus ezithambile kuya kwezilinganiselwe zingelashwa ngempumelelo ngamasu e-chiropractic njengomsebenzi wezicubu ezithambile, ukunwebeka kokulungisa, nokuzivocavoca. . Ukuhlinzwa kungase kudingeke ekugcineni ezimweni ezinzima ukulungisa i-meniscus ukuvimbela izinkinga zesikhathi eside.
Amathambo Achotshoziwe Aphukile
Kusukela ezinqulwini kuya ezinzwaneni, ingxenye engezansi yamathambo omzimba isengozini yokuphuka. Ukuhlukumezeka ngokomzimba okuvela ekucindezelweni isikhathi eside emzimbeni kungabangela ukuthi amathambo ahlakazeke kusuka ku-a ukulimala kokuchoboza . Ukulimala kokuchotshozwa kuthinta amathambo, izicubu ezithambile, nezinye izindawo zomlenze. Izinhlobo ezahlukene ze ama-fracture ahluka ngobunzima . Bangu ukuphuka ingxenye ezingabangeli ukuthi ithambo lihlukane futhi ukuphuka okuphelele lokho kuhlukana futhi ukuqhekeka okuvulekile ezibhoboza isikhumba. Okunye ukuphuka kunzima ukukubona kuze kube yizinsuku ezimbalwa .
Ukunakekelwa kwe-Chiropractic kungasiza umzimba uphulukise futhi ululame ekuqhekekeni kwamathambo. Ukuminyana kwamathambo esiguli kuyahlaziywa futhi kuhlolwe ngohlelo lokwelapha lomuntu ngamunye ukuze kusizwe ukubuyisa nokugcina amandla aphelele amathambo. Imithi yokwelapha iqinisa imisipha, inciphise ukuqina, ithuthukise umsoco, futhi ikhulule ubuhlungu. Ukulungiswa kokukhohlisa, ukuvuselela, amasu okuphumula, kanye nokuqeqeshwa kwezempilo kokudla kusiza abantu ukuthi balulame ngokushesha futhi baqinise amathambo abo. Inhloso ukusiza ukubuyisela ukunyakaza okukhulayo kanye nohlu lokunyakaza.
Sciatica
Izingozi zezimoto nokuphahlazeka kuyisibonelo esisodwa lapho umgogodla ungalimala ngokwanele ukuletha ubuhlungu be-sciatic lapho kungekho zinkinga zangemuva ezazikhona ngaphambili. Umthelela wengozi yemoto ungabangela ukuthi ama-disc akhishwe endaweni, alimale, kanye/noma aqhume eduze kwezicubu ezizungezile. Noma yimuphi wale miphumela ungacindezela i-sciatic nerve, okuholela ebuhlungu nezinye izimpawu ze-sciatica. I-Chiropractic ingalungisa kabusha umgogodla futhi ikhulule ingcindezi evela ku-nerve/s.
I-DOC Spinal Decompression Table
VIDEO
Okubhekwayo
Atkinson, T, kanye no-P Atkinson. "Ukulimala kwamadolo lapho kushayisana izimoto: ucwaningo lwe-National Accident Sampling System database yeminyaka ka-1979-1995." Ingozi; analysis and prevention vol. 32,6 (2000): 779-86. doi:10.1016/s0001-4575(99)00131-1
Foulk, David M, noBrian H Mullis. "I-hip dislocation: ukuhlolwa nokuphatha." Ijenali ye-American Academy of Orthopedic Surgeons vol. 18,4 (2010): 199-209. doi:10.5435/00124635-201004000-00003
Reynolds, Ephreli. "I-femur ephukile." Ubuchwepheshe be-Radiologic vol. 84,3 (2013): 273-91; imibuzo p.292-4.
Wilson, LS Jr et al. “Ukulimala onyaweni naseqakaleni ezingozini zezimoto.” Unyawo & iqakala international vol. 22,8 (2001): 649-52. doi:10.1177/107110070102200806
